Ahp of South Broward LLC

NPI #1043520091 in Hollywood, Florida

Provider Information

NPI Number
1043520091
Entity Type
Organization
Organization Name
Ahp of South Broward LLC
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Oct 8, 2010
Last Updated
Feb 17, 2011

Practice Location

Address
11011 SHERIDAN ST
Address 2
SUITE 106
State
Florida
ZIP Code
33026-1505
Phone
(645) 435-0101

Authorized Official

Name
ALLISON ROSE BLASETTI
Title
DIRECTOR CREDENTIALING & ENROLLMENT
Phone
(770) 945-5330

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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